Johnson, Rhonda M.

Johnson, Rhonda M. is an individual health care provider with primary practice located at 4500 Mercantile Plaza Dr Suite 307, Fort Worth TX 76137. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Rhonda M. can be contacted via phone (817) 268-6735.

Contact Information

Primary practice address
4500 Mercantile Plaza Dr Suite 307 Fort Worth TX 76137
Phone: (817) 268-6735
Fax: (817) 284-2031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 16860 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 5053 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 16860 Texas

Profile Details

NPI number 1962599985
LBN Legal business name Johnson, Rhonda M.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Mar 22nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962599985 NPPES
Texas MEDICAID 3876625-01

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